Active NPI
Marylu Ramos
- Substance Use Disorder Rehabilitation Clinic/Center
- Newhall, CA
National Provider Identifier
1619895661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 191628BP
- Practice address
- 23550 Lyons Ave Ste 208
Newhall, CA 91321-5742 - Phone
- (818) 568-8204
- NPI assigned
- Jul 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 191628BP | CA | Primary |
Addresses
Primary practice location
23550 Lyons Ave Ste 208
Newhall, CA 91321-5742
Mailing address
23550 Lyons Ave Ste 208
Newhall, CA 91321-5742
Phone (818) 642-9778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dome SCV LLC | Rehabilitation, Substance Use Disorder | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Newhall, CA
- NPI 1912826488
Rehabilitation, Substance Use Disorder
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1619895661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23550 LYONS AVE STE 208",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913215742",
"telephone_number": "818-642-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23550 LYONS AVE STE 208",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913215742",
"telephone_number": "818-568-8204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "MARYLU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "CA",
"license": "191628BP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newhall, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.